Individual
KAYLI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
871 RIDGEWAY LOOP RD, MEMPHIS, TN 38120-4038
(901) 759-1282
Mailing address
6250 HIGHWAY 64 STE 5, OAKLAND, TN 38060-5175
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7881
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7881
TN LICENSE NUMBER
TN
Enumeration date
08/30/2021
Last updated
11/18/2021
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